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Craig Hospital Inventory of Environmental Factors (CHIEF) – Spinal Cord Injury (SCI)
Summary
What it measures:
Degree to which elements of the physical, social, and political environments act as barriers or facilitators to full participation for people with disabilities Overall impact of environmental barriers across 5 domains as calculated by the frequency and degree of the problem encountered: • Accessibility • Accommodation • Resource availability • Social support • Equality
Target Population:
People with spinal cord injury (SCI)
Professional Association Recommendations
Recommendations from the APTA Neurology Section’s SCI EDGE Taskforce are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.
SCI EDGE:
- Reasonable to use, but limited study in target group in acute and subacute levels of acuity
- Recommended for chronic level of acuity
- Recommended for AIS classifications A/B and C/D
- Not recommended that students learn to administer the tool or receive exposure to the tool
- Not recommended for use in intervention research studies
Normative/Reference Data
Chronic and Acute SCI: (Kennedy et al, 2009; n=80; 10% complete tetraplegia, 29% incomplete tetraplegia; 21% complete paraplegia, 29% incomplete paraplegia; mean age=50.37 y [range=18 to 81 y]):
Environmental barriers did not seem to have a large impact on activities (for this sample)
Mean scores (SD) by domain:
Attitudes and support=0.51 (1.14)
Services and assistance=1.44 (1.85)
Physical and structural=2.24 (2.27)
Policies=0.86 (1.76)
Work and school=0.18 (0.56)
Chronic SCI (Whiteneck, Meade et al, 2004; n=2,762 participants enrolled in the Model Spinal Cord Injury Systems [MSCIS] program; CHIEF SF-12 used):
Mean Scores by AIS Grade
C1-4 ABC | |
---|---|
n% (n=2,686) |
13% |
C5-8 ABC | |
n% (n=2,686) |
25% |
Para ABC | |
n% (n=2,686) |
41% |
AIS D | |
n% (n=2,686) |
20% |
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Date: February 2, 2014
Contact: practice@apta.org
Content Type: Test & Measure
Kelsey DeLave (extractor); Candy Tefertiller, PT, DPT, Board-Certified Neurologic Clinical Specialist, Jennifer Kahn PT, DPT, Board-Certified Neurologic Clinical Specialist, and the SCI EDGE task force of the Neurology Section of the APTA
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